Evidence map›Paper›PMID 34240265›Full record

Trial reportEuropean journal of nutrition2022

Nutritional supplementation alters associations between one-carbon metabolites and cardiometabolic risk profiles in older adults: a secondary analysis of the Vienna Active Ageing Study.

Nicola A Gillies, Bernhard Franzke, Barbara Wessner, Barbara Schober-Halper, Marlene Hofmann, Stefan Oesen, Anela Tosevska, Eva-Maria Strasser, Nicole C Roy, Amber M Milan and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Nicola A GilliesLiggins Institute, University of Auckland, Auckland, New Zealand.
Bernhard FranzkeResearch Platform Active Ageing, University of Vienna, Althanstrasse 14, 1090, Vienna, Austria.
Barbara WessnerResearch Platform Active Ageing, University of Vienna, Althanstrasse 14, 1090, Vienna, Austria.
Barbara Schober-HalperResearch Platform Active Ageing, University of Vienna, Althanstrasse 14, 1090, Vienna, Austria.
Marlene HofmannResearch Platform Active Ageing, University of Vienna, Althanstrasse 14, 1090, Vienna, Austria.
Stefan OesenResearch Platform Active Ageing, University of Vienna, Althanstrasse 14, 1090, Vienna, Austria.
Anela TosevskaResearch Platform Active Ageing, University of Vienna, Althanstrasse 14, 1090, Vienna, Austria.
Eva-Maria StrasserInstitute for Physical Medicine and Rehabilitation, Kaiser Franz Josef Hospital - Social Medical Center South, Vienna, Austria.
Nicole C RoyLiggins Institute, University of Auckland, Auckland, New Zealand.
Amber M MilanLiggins Institute, University of Auckland, Auckland, New Zealand.
David Cameron-SmithLiggins Institute, University of Auckland, Auckland, New Zealand.
Karl-Heinz WagnerResearch Platform Active Ageing, University of Vienna, Althanstrasse 14, 1090, Vienna, Austria. karl-heinz.wagner@univie.ac.at.ORCID http://orcid.org/0000-0002-1683-7265
University of Vienna · ATUniversity of Auckland · NZAgency for Science, Technology and Research · SGKaiser-Franz-Josef-Spital · AT

Funding

AgResearch (NZ) A19079AgResearch (NZ) A21246EU-IRSES 318962
6 · The paper itself

Abstract

purposeCardiovascular diseases and cognitive decline, predominant in ageing populations, share common features of dysregulated one-carbon (1C) and cardiometabolic homeostasis. However, few studies have addressed the impact of multifaceted lifestyle interventions in older adults that combine both nutritional supplementation and resistance training on the co-regulation of 1C metabolites and cardiometabolic markers.

methods95 institutionalised older adults (83 ± 6 years, 88.4% female) were randomised to receive resistance training with or without nutritional supplementation (Fortifit), or cognitive training (control for socialisation) for 6 months. Fasting plasma 1C metabolite concentrations, analysed by liquid chromatography coupled with mass spectrometry, and cardiometabolic parameters were measured at baseline and the 3- and 6-month follow-ups.

resultsRegardless of the intervention group, choline was elevated after 3 months, while cysteine and methionine remained elevated after 6 months (mixed model time effects, p < 0.05). Elevated dimethylglycine and lower betaine concentrations were correlated with an unfavourable cardiometabolic profile at baseline (spearman correlations, p < 0.05). However, increasing choline and dimethylglycine concentrations were associated with improvements in lipid metabolism in those receiving supplementation (regression model interaction, p < 0.05).

conclusionCholine metabolites, including choline, betaine and dimethylglycine, were central to the co-regulation of 1C metabolism and cardiometabolic health in older adults. Metabolites that indicate upregulated betaine-dependent homocysteine remethylation were elevated in those with the greatest cardiometabolic risk at baseline, but associated with improvements in lipid parameters following resistance training with nutritional supplementation. The relevance of how 1C metabolite status might be optimised to protect against cardiometabolic dysregulation requires further attention.

Indexed as

CarbonCardiovascular DiseasesAgedAgingBetaineCholineDietary SupplementsFemaleHomocysteineHumansMaleBetaineCarbonCholineHomocysteineCholineHomocysteineNutritional supplementOlder adultsOne-carbon metabolism

Identifiers

PMID34240265
PMCPMC8783863
OpenAlexW3178244611

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.